Linda Wagner I, MHS,CADC,MISA I
Counselor, Addiction (Substance Use Disorder) in East Hazel Crest, IL. Individual provider (NPI-1).
NPI number1649633751
StatusActive
Last updated in NPPESApr 5, 2016
Details
- NPI
- 1649633751
- Entity type
- Individual (NPI-1)
- Name
- Linda Wagner I
- Credential
- MHS,CADC,MISA I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2016
- Last updated
- Apr 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone 708-647-3335 · Fax 708-647-3504
Mailing address
1909 Cheker SqEast Hazel Crest, IL 60429-1442
Phone 708-647-3335 · Fax 708-647-3504
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All 88 Addiction (Substance Use Disorder) Counselor providers in East Hazel Crest · All 115 providers in East Hazel Crest
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